10 results on '"Prince Justin Anku"'
Search Results
2. Childcare practices among teenage mothers in Ghana: a qualitative study using the ecological systems theory
- Author
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Reuben Foster Twintoh, Prince Justin Anku, Hubert Amu, Eugene Kofour Maafo Darteh, and Kwaku Kissah Korsah
- Subjects
Childcare practices ,Lived experiences ,Teenage mothers ,Ecological systems theory (EST) ,Ghana ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background While appropriate care for children is essential for optimal growth and protection against child morbidity and mortality, teenage mothers have been shown to deviate from the recommended childcare practices. This study explored the childcare practices among teenage mothers in Ghana using Ecological Systems Theory by Bronfenbrenner as a theoretical framework. Methods Employing qualitative approach to inquiry, evidence was drawn from 30 teenage mothers using in-depth interviews. The data were analysed and presented following systematic qualitative-oriented text analysis strategy with verbatim quotes from study participants to support the emergent themes. Results It was evident that teenage mothers have limited skills in childcare practices and often resorted to practices with potentially adverse health outcomes for their children. They, for instance, applied hot towels they had heated with hot stones to the children’s umbilical stump. We found that teenage mothers were not in sync with their macro- and exo-systems, thereby depriving themselves and their babies of the much-needed guidance and support in caring for their babies. Teenage mothers were often confused and sometimes clueless about best childcare practices at a given point in time. Conclusions Childcare practices by teenage mothers are far from the ideal. To improve on child health (especially children born to teenage mothers), efforts at both the macro- and exo-systems should be directed at exposing teenage mothers to best child care practices that inure to the benefits of their children. Ante- and postnatal visits should be used to provide specific education for mothers, especially first-time teenage mothers on the care needs of babies and how to provide these needs.
- Published
- 2021
- Full Text
- View/download PDF
3. Challenges of scaling-up of TB-HIV integrated service delivery in Ghana.
- Author
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Prince Justin Anku, Joshua Amo-Adjei, David Doku, and Akwasi Kumi-Kyereme
- Subjects
Medicine ,Science - Abstract
Integration of tuberculosis and HIV services in many resource-limited settings, including Ghana, has been far from optimal despite the existence of policy frameworks for integration. A previous study among programme managers and other stakeholders at the national level has documented tardiness in committing to the integration of services. In this paper, we aimed at unravelling pertinent challenges that confront TB-HIV integrated service delivery. Data were obtained from interviews with 31 individual health care providers operating under different models of TB-HIV service delivery. The study is framed around the Complexity Theory. We applied inductive and deductive techniques to code the data and validations were done through inter-rater mechanisms. The analysis was done with the assistance of QSR NVivo version 12. We found evidence of a convivial working relationship between TB-HIV service providers at the facility level. However, the interactions vary across models of care-the lesser the level of integration, the lesser the complexities for interactions that ensued. This had resulted in operational challenges on account of how the two-disease environment interacts with the other components of the health system. These challenges included; weak/inappropriate infrastructure, frail coordination between the two programmes and hospital administrators, under-staffing in comprehensive TB-HIV management, use of community facility under the Directly-Observed Treatment (DOT) protocols, and financial constraints. To fully appropriate the enormous benefits of TB-HIV service integration, there is a need to address these challenges.
- Published
- 2020
- Full Text
- View/download PDF
4. Community Contribution to Tuberculosis Care in the Krachi West District of Ghana: A Qualitative Study
- Author
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Samuel Agbenyegah Addy, Eric Osei, Joyce Komesuor, Evelyn Acquah, Prince Justin Anku, Elvis Enowbeyang Tarkang, Farrukh Ishaque Saah, and Hubert Amu
- Subjects
Medicine - Abstract
Background. Eradicating tuberculosis (TB) is one of the targets of the recently constituted Sustainable Development Goal (SDG) Three. In the light of limitations inherent in prevailing tuberculosis care and the global urgency to improve TB care, decentralising TB care beyond health facilities by harnessing the contribution of communities is essential in ensuring effective tuberculosis care. In this paper, we explored community contribution to TB care in the Krachi West District of Ghana. Methods. In this qualitative study, 24 TB stakeholders made up of 7 health workers, 9 tuberculosis patients, 4 community health volunteers, 2 treatment supporters, and 2 opinion leaders were interviewed. Data collected were analysed manually, but thematically. Statements of the participants were presented as quotes to substantiate issues discussed. Results. Community contribution to TB care was low. Most of the community members were not aware of any community level activity towards tuberculosis care. Though patients were mainly the ones responsible for the selection of their treatment supporters, there were instances where health workers selected supporters for them without their consent. Some treatment supporters were also not given any education concerning their roles in supporting their patients, resulting in some patients defaulting treatment and others taking their medications wrongfully. Conclusion. Our study revealed low community involvement in tuberculosis care in the Krachi West District of Ghana. Community sensitisation on the World Health Organisation’s Directly Observed Treatment Strategy (which Ghana adopted in 1994) to increase community involvement in tuberculosis activities is, therefore, recommended.
- Published
- 2019
- Full Text
- View/download PDF
5. Community Contribution to Tuberculosis Care in the Krachi West District of Ghana: A Qualitative Study
- Author
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Eric Osei, Evelyn Acquah, Joyce Komesuor, Farrukh Ishaque Saah, Elvis Enowbeyang Tarkang, Samuel Agbenyegah Addy, Prince Justin Anku, and Hubert Amu
- Subjects
Sustainable development ,medicine.medical_specialty ,Tuberculosis ,Article Subject ,business.industry ,030503 health policy & services ,lcsh:R ,MEDLINE ,Opinion leadership ,lcsh:Medicine ,medicine.disease ,World health ,03 medical and health sciences ,0302 clinical medicine ,Family medicine ,Community health ,medicine ,Default ,030212 general & internal medicine ,0305 other medical science ,business ,Research Article ,Qualitative research - Abstract
Background. Eradicating tuberculosis (TB) is one of the targets of the recently constituted Sustainable Development Goal (SDG) Three. In the light of limitations inherent in prevailing tuberculosis care and the global urgency to improve TB care, decentralising TB care beyond health facilities by harnessing the contribution of communities is essential in ensuring effective tuberculosis care. In this paper, we explored community contribution to TB care in the Krachi West District of Ghana. Methods. In this qualitative study, 24 TB stakeholders made up of 7 health workers, 9 tuberculosis patients, 4 community health volunteers, 2 treatment supporters, and 2 opinion leaders were interviewed. Data collected were analysed manually, but thematically. Statements of the participants were presented as quotes to substantiate issues discussed. Results. Community contribution to TB care was low. Most of the community members were not aware of any community level activity towards tuberculosis care. Though patients were mainly the ones responsible for the selection of their treatment supporters, there were instances where health workers selected supporters for them without their consent. Some treatment supporters were also not given any education concerning their roles in supporting their patients, resulting in some patients defaulting treatment and others taking their medications wrongfully. Conclusion. Our study revealed low community involvement in tuberculosis care in the Krachi West District of Ghana. Community sensitisation on the World Health Organisation’s Directly Observed Treatment Strategy (which Ghana adopted in 1994) to increase community involvement in tuberculosis activities is, therefore, recommended.
- Published
- 2019
6. Childcare practices among teenage mothers in Ghana: a qualitative study using the ecological systems theory
- Author
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Eugene Kofour Maafo Darteh, Reuben Foster Twintoh, Hubert Amu, Kwaku Kissah Korsah, and Prince Justin Anku
- Subjects
medicine.medical_specialty ,Ecological systems theory (EST) ,Adolescent ,Lived experiences ,Poison control ,Mothers ,Ecological systems theory ,Suicide prevention ,Ghana ,Developmental psychology ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,Injury prevention ,Childcare practices ,Medicine ,Teenage mothers ,Humans ,030212 general & internal medicine ,Child Care ,Child ,Ecosystem ,030219 obstetrics & reproductive medicine ,business.industry ,Public health ,lcsh:Public aspects of medicine ,Public Health, Environmental and Occupational Health ,Child Health ,Human factors and ergonomics ,Infant ,lcsh:RA1-1270 ,Breast Feeding ,Female ,Biostatistics ,business ,Qualitative research ,Research Article - Abstract
Background While appropriate care for children is essential for optimal growth and protection against child morbidity and mortality, teenage mothers have been shown to deviate from the recommended childcare practices. This study explored the childcare practices among teenage mothers in Ghana using Ecological Systems Theory by Bronfenbrenner as a theoretical framework. Methods Employing qualitative approach to inquiry, evidence was drawn from 30 teenage mothers using in-depth interviews. The data were analysed and presented following systematic qualitative-oriented text analysis strategy with verbatim quotes from study participants to support the emergent themes. Results It was evident that teenage mothers have limited skills in childcare practices and often resorted to practices with potentially adverse health outcomes for their children. They, for instance, applied hot towels they had heated with hot stones to the children’s umbilical stump. We found that teenage mothers were not in sync with their macro- and exo-systems, thereby depriving themselves and their babies of the much-needed guidance and support in caring for their babies. Teenage mothers were often confused and sometimes clueless about best childcare practices at a given point in time. Conclusions Childcare practices by teenage mothers are far from the ideal. To improve on child health (especially children born to teenage mothers), efforts at both the macro- and exo-systems should be directed at exposing teenage mothers to best child care practices that inure to the benefits of their children. Ante- and postnatal visits should be used to provide specific education for mothers, especially first-time teenage mothers on the care needs of babies and how to provide these needs.
- Published
- 2021
7. Challenges of scaling-up of TB-HIV integrated service delivery in Ghana
- Author
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David Teye Doku, Prince Justin Anku, Joshua Amo-Adjei, and Akwasi Kumi-Kyereme
- Subjects
RNA viruses ,Bacterial Diseases ,Male ,Viral Diseases ,Process management ,Service delivery framework ,Epidemiology ,HIV Infections ,Pathology and Laboratory Medicine ,Ghana ,Systems Science ,Geographical Locations ,0302 clinical medicine ,Individual health ,Immunodeficiency Viruses ,Medicine and Health Sciences ,030212 general & internal medicine ,Disease management (health) ,Multidisciplinary ,Delivery of Health Care, Integrated ,Disease Management ,HIV diagnosis and management ,Complex Systems ,Service provider ,Middle Aged ,AIDS ,Infectious Diseases ,Medical Microbiology ,HIV epidemiology ,Viral Pathogens ,Viruses ,Physical Sciences ,Medicine ,Female ,Pathogens ,Research Article ,Adult ,Computer and Information Sciences ,Science ,Health Personnel ,030231 tropical medicine ,MEDLINE ,Microbiology ,03 medical and health sciences ,Young Adult ,Acquired immunodeficiency syndrome (AIDS) ,Retroviruses ,medicine ,Tuberculosis ,Humans ,National level ,Microbial Pathogens ,Service (business) ,Health Care Policy ,Lentivirus ,Organisms ,Biology and Life Sciences ,HIV ,medicine.disease ,Tropical Diseases ,Diagnostic medicine ,Health Care ,People and Places ,Africa ,Business ,Mathematics - Abstract
Integration of tuberculosis and HIV services in many resource-limited settings, including Ghana, has been far from optimal despite the existence of policy frameworks for integration. A previous study among programme managers and other stakeholders at the national level has documented tardiness in committing to the integration of services. In this paper, we aimed at unravelling pertinent challenges that confront TB-HIV integrated service delivery. Data were obtained from interviews with 31 individual health care providers operating under different models of TB-HIV service delivery. The study is framed around the Complexity Theory. We applied inductive and deductive techniques to code the data and validations were done through inter-rater mechanisms. The analysis was done with the assistance of QSR NVivo version 12. We found evidence of a convivial working relationship between TB-HIV service providers at the facility level. However, the interactions vary across models of care-the lesser the level of integration, the lesser the complexities for interactions that ensued. This had resulted in operational challenges on account of how the two-disease environment interacts with the other components of the health system. These challenges included; weak/inappropriate infrastructure, frail coordination between the two programmes and hospital administrators, under-staffing in comprehensive TB-HIV management, use of community facility under the Directly-Observed Treatment (DOT) protocols, and financial constraints. To fully appropriate the enormous benefits of TB-HIV service integration, there is a need to address these challenges.
- Published
- 2020
8. Timing of First Sexual Intercourse and Number of Lifetime Sexual Partners in Sub-Saharan Africa
- Author
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Laila Alidu, Prince Justin Anku, Joshua Amo-Adjei, and Derek Anamaale Tuoyire
- Subjects
Cultural Studies ,Sexual partner ,030505 public health ,Sub saharan ,business.industry ,Delayed onset ,Gender Studies ,03 medical and health sciences ,Sexual intercourse ,symbols.namesake ,0302 clinical medicine ,symbols ,Marital status ,Residence ,030212 general & internal medicine ,Poisson regression ,0305 other medical science ,business ,Psychology ,Reproductive health ,Demography - Abstract
The timing of first sexual intercourse (FSI) has been linked with subsequent sexual risk-taking behaviours and associated negative health outcomes. Nonetheless, there is a lack of multi-countries studies exploring the relationship between timing of FSI and subsequent number of sexual partnerships. Our aim in this paper was to aggregate evidence from 34 sub-Saharan African countries to investigate the association between age at FSI and lifetime number of sexual partners, using Demographic and Health Survey data. Descriptive and multilevel mixed effects Poisson regression techniques were applied to the data. The findings reveal a significant association between age at FSI and subsequent number of lifetime sexual partners. This association remained post adjusting for education, wealth, marital status and residence for both men and women. Beyond these, the results showed that wealth worked in opposite direction in men and women—higher wealth status was protective for women while it exposed men to higher number of lifetime sexual partners. Higher education exposed both women and men to increased number of lifetime partnerships. We conclude that there is an association between delayed onset of sexual intercourse and number of sexual partners over time, regardless of gender and socio-demographic background. Sexual and reproductive health programmes calling for sexual partner reduction should focus more on age of sexual debut while factoring in the influence of the various socio-demographic dynamics.
- Published
- 2017
9. Integration of tuberculosis and HIV services: Exploring the perspectives of co-infected patients in Ghana
- Author
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David Teye Doku, Akwasi Kumi-Kyereme, Joshua Amo-Adjei, and Prince Justin Anku
- Subjects
Adult ,Male ,medicine.medical_specialty ,Tuberculosis ,Service delivery framework ,030231 tropical medicine ,Coding (therapy) ,HIV Infections ,Ghana ,Interviews as Topic ,03 medical and health sciences ,0302 clinical medicine ,Process theory ,medicine ,Humans ,030212 general & internal medicine ,Qualitative Research ,Service (business) ,biology ,Coinfection ,Delivery of Health Care, Integrated ,business.industry ,Public Health, Environmental and Occupational Health ,Middle Aged ,medicine.disease ,Surgery ,Family medicine ,Toll ,biology.protein ,Female ,business ,Qualitative research - Abstract
Scaling up of integrated tuberculosis (TB)-human immunodeficiency virus (HIV) services remains sub-optimal in many resource-limited countries, including Ghana, where the two conditions take a heavy toll on the financial resources of health systems as well as infected persons. Previous studies have documented several implementation challenges towards TB-HIV service integration, but views of patients on integrated service delivery have not received commensurate research attention. This paper explored the experiences of 40 TB-HIV co-infected patients at different stages of treatment in Ghana. Using Normalisation Process Theory as a framework, data were coded using inter-rater coding technique and analysed inductively and deductively with the help of QSR NVivo 10. For several participants, either of the diseases was diagnosed 'accidentally', leading to inconsistencies in co-therapy administration, constraints regarding separate clinic appointment dates for TB and HIV and prolonged TB treatment due to treatment failure. Put differently, there were widespread negative experiences among TB-HIV co-infected patients with regard to treatment and care, especially among patients who were accessing care in separate facilities or separate units in the same facility. Co-infected patients unanimously support full-service integration. However, they felt powerless to request for reforms on a mode of service delivery.
- Published
- 2017
10. Perception of quality of health delivery and health insurance subscription in Ghana
- Author
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Joshua Amo-Adjei, Hannah Fosuah Amo, Prince Justin Anku, and Mavis Osei Effah
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,National Health Programs ,Self-insurance ,Ghana ,Young Adult ,03 medical and health sciences ,Health insurance ,0302 clinical medicine ,Environmental health ,Insurance policy ,Health care ,Humans ,Medicine ,030212 general & internal medicine ,Health policy ,Demography ,Quality of Health Care ,Insurance, Health ,business.industry ,030503 health policy & services ,Health Policy ,Public health ,Ownership ,International health ,Middle Aged ,Health Surveys ,Quality ,Subscription ,Health promotion ,Socioeconomic Factors ,Female ,Perception ,Health education ,0305 other medical science ,business ,Attitude to Health ,Delivery of Health Care ,Research Article - Abstract
Background National health insurance schemes (NHIS) in developing countries and perhaps in developed countries as well is a considered a pro-poor intervention by helping to bridge the financial burden of access to quality health care. Perceptions of quality of health service could have immense impacts on enrolment. This paper shows how perception of service quality under Ghana’s insurance programme contributes to health insurance subscription. Methods The study used the 2014 Ghana Demographic and Health Survey (GDHS) dataset. Both descriptive proportions and binary logistic regression techniques were applied to generate results that informed the discussion. Results Our results show that a high proportion of females (33 %) and males (35 %) felt that the quality of health provided to holders of the NHIS card was worse. As a result, approximately 30 % of females and 22%who perceived health care as worse by holding an insurance card did not own an insurance policy. While perceptions of differences in quality among females were significantly different (AOR = 0.453 [95 % CI = 0.375, 0.555], among males, the differences in perceptions of quality of health services under the NHIS were independent in the multivariable analysis. Beyond perceptions of quality, being resident in the Upper West region was an important predictor of health insurance ownership for both males and females. Conclusion For such a social and pro-poor intervention, investing in quality of services to subscribers, especially women who experience enormous health risks in the reproductive period can offer important gains to sustaining the scheme as well as offering affordable health services.
- Published
- 2016
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